IndividualActive
Keith Bumgardner, DPT
NPI 1598289142 · Physical Therapist · Forsyth, IL
Provider details
- NPI number
- 1598289142
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 007133 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
849 S Route 51 Ste D
Forsyth, IL 62535-8808
Phone: (217) 872-2244
Approximate (ZIP-level) locationGet directions
Mailing address
849 S Route 51 Ste D
Forsyth, IL 62535-8808
Additional practice locations (1)
- 5006 Atwood Dr Ste 2Richmond, KY 40475-8179Phone: (859) 623-2057Fax: (859) 623-2058
Registry dates
- Enumerated
- 2017-07-26
- Last updated
- 2025-02-27
- Certified
- 2025-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.